Tresiba an yi niyya don maganin cututtukan cututtukan cututtukan mahaifa. Ana amfani dashi don daidaita dabi'un glucose. Yana da sakamako mai ɗorewa a cikin yaƙi da hyperglycemia.
Sunan kasa da kasa mai zaman kansa
Latin - Tresibum
Tresiba an yi niyya don maganin cututtukan cututtukan cututtukan mahaifa.
ATX
A10AE06
Saki siffofin da abun da ke ciki
Akwai shi ta hanyar mafita don allura - ruwa mai tsabta, ba tare da laka da kowane lahani na inji ba. Babban abu mai aiki shine insulin degludec 100 PIECES. An gabatar da ƙarin abubuwan haɗin: metacresol, glycerin, phenol, hydrochloric acid, zinc acetate, dihydrate, sodium hydroxide da ruwa don allura.
A cikin alkalami na polypropylene akwai katifa tare da maganin allura a cikin adadin mil 3, i.e. 300 KUDI na insulin degludec. Ana amfani da gilashin don yin katun. Akwai pistin na roba a gefe ɗaya na kicin da diski na roba akan ɗayan. Fakitin kwali na ɗauke da irin waɗannan almara guda 5.
Aikin magunguna
Degludec insulin yana da ikon duniya da sauri don ɗaure insulin na ɗan adam. Saboda haka, tasirin warkewar waɗannan nau'ikan insulin kusan iri ɗaya ne. Masu karɓa na insulin suna ɗaure wa takamaiman masu karɓa na daskararru don mai da ƙwayoyin tsoka. A lokaci guda, insulin ba wai kawai yana da tasirin hypoglycemic ba, amma yana hana sakin glucose daga hanta.
A cikin alkalami na polypropylene akwai katifa tare da maganin allura a cikin adadin mil 3, i.e. 300 KUDI na insulin degludec.
Ana amfani da kwayar cutar basal insulin. Bayan gabatarwarsa, an kafa takamaiman multihexamer. Daga depot da aka kafa, insulin na kyauta yana shiga cikin jini. Matakan suga na jini ya ragu a hankali. Amma aikin ya dade sosai.
Pharmacokinetics
Bayan gudanar da magani na kai tsaye don insulin, an ƙirƙiri ɗakunan ajiya mai ƙira. Ma'aikatan insulin da suke farawa a hankali sun fara rarrabewa da su da yawa. Sakamakon wannan, insulin, kodayake a hankali amma kullun, yana shiga cikin jini. Ana lura da mafi girman yawan jini a cikin awoyi da yawa bayan allurar. Tasirin har zuwa kwanaki 2.
Magungunan suna da kyau kuma kusan an rarraba su ko'ina cikin kyallen da gabobin. Bioavailability da kuma ikon ɗauka zuwa tsarin furotin suna da yawa sosai. Babu wani daga cikin abubuwan metabolites da ke da kaddarorin aiki. Rabin rayuwar miyagun ƙwayoyi yana ɗaukar kimanin sa'o'i 25.
Alamu don amfani
Alamu don amfani da magani, kamar yadda umarnin ya nuna, shine kula da ciwon sukari a cikin manya, matasa da yara daga shekara 1.
Alamu don amfani da magani, kamar yadda umarnin ya nuna, shine maganin ciwon sukari.
Contraindications
Contraindications kai tsaye don amfani sune:
- ciki
- lokacin lactation;
- shekarun yara har zuwa shekara 1;
- rashin hankali ga abubuwan da ke cikin miyagun ƙwayoyi.
Yadda ake ɗaukar Treshiba?
Ana amfani da Treshiba FlexTouch don allurar subcutaneous. Ya kamata a ba da allura sau ɗaya a rana, zai fi dacewa kowace rana a lokaci guda. Sashi aka zaɓi tsananin akayi daban-daban. Wajibi ne don haɓaka sarrafa glycemic dangane da glucose na azumi. Alƙalin sirinji yana ba ku damar shigar da raka'o'in 1-80 na magani har tsawon 1.
Yaya za a yi amfani da alkalami?
Kafin amfani, tabbatar da duba alkairin sirinji don aiki yadda yakamata. Ya kamata ka tabbata cewa yana ɗauke da nau'in insulin kuma cikin adadin da ake buƙata don allura. An cire hula mai kariya daga sirinji. Daga nan sai a ɗauki allura kuma a cire membrane mai kariya.
Ana amfani da Treshiba FlexTouch don allurar subcutaneous.
An toka allurar a hannu don ta kama shi da ƙarfi. An cire murfin waje daga allura amma ba a jefa shi ba don rufe allurar da aka yi amfani da shi bayan allura. Kuma an jefa kafadar ciki. An zubar da allura bayan kowace allura. An adana alkalami mai sirinji na dogon lokaci, amma kowane lokaci ana rufe shi da kullin kariya don hana kamuwa da cuta daga shiga ta.
Shan maganin don ciwon sukari
Ga mutanen da ke da nau'in cutar ta 2, ana gudanar da maganin dabam dabam ko kuma a haɗe tare da rage ƙwayar sukari don gudanar da baka, ko insulin bolus.
Initialarancin farko da aka bada shawarar shine raka'a 10 a kowace rana tare da yiwuwar daidaita satin mai zuwa. Marasa lafiya waɗanda a baya suka karɓi insalin 'basal-basus-bolus, da waɗanda suka haɗu da insulin, suna canzawa zuwa Treshiba 1: 1 zuwa sashin insulin da ya gabata.
A cikin marasa lafiya da ke dauke da nau'in 1 na ciwon sukari na mellitus, ƙwayar ta kasance lokaci guda tare da gajeren insulin don rufe buƙatarta yayin cin abinci. Ana amfani da kwayoyi sau ɗaya a rana tare da insulin.
Ga yawancin marasa lafiya da ke da nau'in ciwon sukari na 1, sauyawa daga insulin basal zuwa Treshiba yana faruwa a cikin rabo 1: 1. Ga mutanen da suka karɓi insulin na yau da kullun sau biyu a rana, ana lasafta matakin juji da akayi daban daban. Ragewa yayi la'akari da amsawar glycemic.
Sideres Treshiba
Haɓaka sakamakon wucewa kashi ko keta alurar rigakafi.
Lokacin ɗauka, halayen rashin lafiyan na iya faruwa.
Daga tsarin rigakafi
Lokacin ɗauka, halayen rashin lafiyan na iya faruwa. Ballantan bayyanannan su na da haɗari a rayuwa. Ana iya bayyanar da su ta hanyar kumbura da harshe, zawo, amai, amai, zazzaɓi.
A bangaren metabolism da abinci mai gina jiki
Hypoglycemia sau da yawa yana tasowa. Yana faruwa lokacin da adadin insulin ɗin da aka karɓa ya fi yadda ake buƙata. Kwayar cutar hypoglycemia na faruwa ba zato ba tsammani. An bayyana su ta hanyar gumi mai sanyi, fata mai narkewa, damuwa, rawar jiki, rauni gaba ɗaya, rikicewa, magana mara nauyi da yawaita, ƙara yawan yunwar, ciwon kai, raguwar hangen nesa.
A ɓangaren fata
Mafi yawan fatawar fata shine lipodystrophy, wanda zai iya haɓaka a wurin allurar. Hadarin haɓaka irin waɗannan halayen zai ragu idan an canza wurin allurar koyaushe.
Cutar Al'aura
Tare da gabatarwar miyagun ƙwayoyi, halayen na iya faruwa a wurin allurar. Sun bayyana: hematomas, zafi, itching, kumburi, bayyanar nodules da erythema, narkewa a wannan wuri. Duk wannan yana faruwa ne saboda gaskiyar cewa an samar da takamaiman ƙwayoyin rigakafi don mayar da martani ga gudanarwar maganin. Irin waɗannan halayen suna iya juyawa, matsakaici, basa buƙatar kulawa ta musamman kuma ƙarshe su wuce da kansu.
Mafi yawan fatawar fata shine lipodystrophy, wanda zai iya haɓaka a wurin allurar.
Tasiri kan ikon sarrafa abubuwan inji
Domin a yayin kulawa da hypoglycemia na iya haɓaka, dole ne a kula da kulawa ta musamman lokacin tuki da sauran hanyoyin hadaddun abubuwa waɗanda ke buƙatar haɓakar jawo hankali.
Umarni na musamman
Lokacin amfani da wannan magani, kuna buƙatar kula da matakin glucose koyaushe a cikin jini don guje wa haɓakar rikice-rikice masu yiwuwa. A wannan yanayin, ana amfani da alkalami mai sihiri sau ɗaya kawai. Ba za ku iya haɗa nau'ikan insulin a cikin sirinji 1 ba.
Yi amfani da tsufa
A cikin tsofaffi, haɗarin haɓakar haɓakar jini yana ƙaruwa. Sabili da haka, yin amfani da miyagun ƙwayoyi a cikin wannan rukuni na marasa lafiya yana buƙatar saka idanu akai-akai na canje-canje a cikin sakamakon gwaji.
Adana Treshiba ga yara
A cewar masana magunguna, ana iya amfani da maganin ga matasa da yara daga shekara 1.
A cewar masana magunguna, ana iya amfani da maganin ga matasa da yara daga shekara 1.
Yi amfani da lokacin daukar ciki da lactation
Ana iya amfani da wannan kayan aikin yayin gestation. Amma ya kamata koyaushe ku lura da sakamakon canje-canje a cikin tattarawar glucose a cikin jini. Wannan gaskiya ne ga mata masu juna biyu da masu ciwon sukari. A farkon lokacin daukar ciki, ana rage bukatar insulin, kuma a ƙarshen lokacin yana ƙaruwa. Sabili da haka, yana da mahimmanci don saka idanu hawa da sauka a cikin sukari na jini don hana ci gaban hauhawar jini.
Babu karatuttukan akan ko abu mai aiki ya shiga cikin madarar nono. Amma bisa ga wasu rahotanni, ba a lura da mummunan yanayin a cikin yaran ba.
Aikace-aikacen aiki mara kyau
Dukkanta ya dogara ne akan tsabtacewar halitta. Mafi girma shine, ƙananan ƙwayar insulin da kuke buƙatar amfani dashi.
Amfani don aikin hanta mai rauni
Akwai babban haɗarin rikitarwa yayin aikin maganin insulin. Sabili da haka, dole ne a kula da hankali don sarrafa matakan glucose.
Akwai babban haɗarin haɓaka rikicewar hanta yayin maganin ƙwayoyi tare da insulin.
Yawancin adadin Treshiba
Idan kun shigar da ƙarin ƙwayar cuta, hauhawar jini na matakan digiri daban-daban na haɓaka. Ana kula da hypoglycemia mai sauƙi tare da glucose ko abinci mai dauke da sukari da carbohydrates mai sauri. A cikin mawuyacin yanayi, lokacin da mai haƙuri ya rasa hankali, ana shigar da glucagon cikin ƙwayar tsoka ko ƙarƙashin ƙasa. Idan bayan mintina 20 yanayin bai inganta ba, to ƙarin gluklintar ciki ana shigar da shi cikin jijiya.
Yin hulɗa tare da wasu kwayoyi
Wasu kwayoyi suna rage ƙarfin jikin insulin. Daga cikin su: magunguna masu rage sukari na baka, masu hana MAO, masu hana beta, masu hana jini maganin ACE, wasu salicylates, sulfonamides da magungunan anabolic steroid.
Ana buƙatar haɓaka yawan insulin lokacin da aka haɗo su tare da thiazides, magungunan glucocorticosteroid, Ok, sympathomimetics, thyroid da hormone girma, Danazole.
Amfani da barasa
Ba za ku iya haɗa shan shan magani da barasa ba. Wannan yana haifar da hypoglycemia mai tsanani, wanda zai iya shafar yanayin janar na haƙuri.
Analogs
Abubuwa masu maye gurbi sune:
- Aylar;
- Lantus Optiset;
- Lantus;
- Lantus Solostar;
- Tujeo;
- Tujeo Solostar;
- Levemir Penfill;
- Levemir Flekspen;
- Monodar;
- Solikva.
Magunguna kan bar sharuɗan
Za'a iya siyan magungunan a kantin magani tare da takardar sayen magani.
Zan iya saya ba tare da takardar sayan magani ba?
Banda
Farashin Treshiba
Kudin sun yi yawa kuma sun kai 5900-7100 rubles. kowace fakiti na katako guda 5.
Yanayin ajiya na miyagun ƙwayoyi
Mai firiji ya dace azaman wurin ajiya, mai nuna zafin jiki - + 2 ... + 8 ° C. Kar a daskare. Dole ne a ajiye alƙalin sirinji kawai tare da rufe hula. Bayan buɗewar farko, ana iya adana alkalami a zazzabi da bai wuce + 30 ° C ba, ana amfani da shi tsawon makonni 8.
Ranar karewa
Shekaru 2.5.
Mai masana'anta
Kamfanin masana'antu: A / S Novo Nordisk, Denmark.
Reviews game da Tresib
Likitoci
Moroz A.V., endocrinologist, 39 years old, Yaroslavl.
Yanzu mun fara nada Treshib ba sau da yawa ba, saboda farashinsa ya wuce kima sosai, ba duk marasa lafiya ne za su iya samun irin wannan siyan ba. Sabili da haka miyagun ƙwayoyi suna da kyau kuma suna tasiri.
Kocherga V.I., endocrinologist, 42 years old, Vladimir.
Duk da babban farashin, Har yanzu ina ba da shawara ga marassa lafiya su zaɓi wannan magani, saboda mafi kyawu ga sabon ƙarni na insulin, Ban hadu ba tukuna. Yana riƙe matakin sukari da kyau, tare da allura 1 kowace rana.
Masu ciwon sukari
Igor, dan shekara 37, Cheboksary.
Ina da ciwon sukari na 1 A kan shawarar likita, Ina biye da tsarin abinci da ɗakuna 8 na Treshiba da dare kuma kafin cin abinci na Actrapid. Ina son sakamakon. Suga daidai ne a cikin kullun, ba a dade da yin fama da cututtukan hypoglycemia ba.
Karina, ɗan shekara 43, Astrakhan.
Na kasance ina ɗaukar Levemir, na tsallake ɗan ƙaramin sukari, sannan aka shawarce ni in canza zuwa Tresiba. Matsayi na sukari ya koma al'ada, na gamsu da sakamakon maganin. Amma akwai debe kewa ɗaya - yana da tsada, kuma ba kowa ne zai iya ba.
Pavel, dan shekara 62, Khabarovsk.
An dauki wannan magani har shekara guda. Yanzu likita ya canza ni zuwa Levemir, saboda Kudinsa yana da araha mai yawa. Yana da muni, yana da mahimmanci a saka farashi kafin kowane abinci.
